000042696 001__ 42696 000042696 005__ 20240221123331.0 000042696 0247_ $$2doi$$a10.6083/bpxhc42696 000042696 037__ $$aETD 000042696 041__ $$aeng 000042696 245__ $$aSurgical smoke evacuation device implementation: a quality improvement project at Doernbecher Children’s Hospital 000042696 260__ $$bOregon Health and Science University 000042696 269__ $$a2023-08-10 000042696 336__ $$aFinal project 000042696 502__ $$bD.N.P. 000042696 502__ $$gNurse Anesthesia 000042696 520__ $$aSurgical smoke, created via energy-generating surgical devices, is a physical, chemical, and biological hazard that adversely affects the health of exposed individuals. Smoke evacuation devices (SEDs) are readily available at Doernbecher Children’s Hospital (DCH), though a 2020 gap analysis showed they are used in only 3.2% of annual smoke-generating cases. Surgical smoke evacuation legislation was introduced January 1, 2023, in Oregon, requiring hospitals and ambulatory surgery centers to prevent surgical smoke exposure in ORs. The goal of this quality improvement (QI) was to quantify the use of and track compliance of surgical smoke evacuation, while helping the facility to attain the AORN Go Clear recognition. This QI project relied on Duke University’s FADE methodology to achieve the goal. Based on supply utilization, SEDs were utilized infrequently (4.06%) during the period of Covid when surgical smoke initiatives were paused, increased to 13.88% when surgical smoke awareness and education were reinstated, and spiked to 47.65% with Go Clear audits and institution of legislation for surgical smoke evacuation. A 95% compliance rate for surgical smoke evacuation (SED and non-SED devices) allowed the site to be awarded the AORN Go Clear designation. This project supports the use of multiple interventions including surgical smoke awareness and education, equipment-related factors, and policy/regulation changes to successfully implement the use of smoke evacuation devices in ORs. 000042696 540__ $$fCC BY 000042696 542__ $$fIn copyright - other owner 000042696 650__ $$aOperating Rooms$$023217 000042696 650__ $$aHospitals, Pediatric$$020351 000042696 650__ $$aQuality Improvement$$039456 000042696 6531_ $$asurgical smoke 000042696 6531_ $$aoccupational hazard 000042696 6531_ $$asmoke evacuation device 000042696 691__ $$aSchool of Nursing$$041370 000042696 692__ $$aDepartment of Anesthesiology and Perioperative Medicine$$041393 000042696 7001_ $$aMartyak, Patrick$$uOregon Health and Science University$$041354 000042696 7001_ $$a Thornton, Kimberlee$$uOregon Health and Science University$$041354 000042696 711__ $$aOregon Association of Nurse Anesthetists 2023 Annual Conference$$uOregon Association of Nurse Anesthetists$$d2023-11-18 000042696 7201_ $$aSoelberg, Julie$$uOregon Health and Science University$$041354$$eAcademic advisor$$7Personal 000042696 8564_ $$94f12ca35-887a-46e5-b798-40d0d7441e25$$s1540965$$uhttps://digitalcollections.ohsu.edu/record/42696/files/Thornton.Kimberlee.2024_paper.pdf 000042696 8564_ $$9b60a8865-ea9c-438b-98c2-83525b52a405$$s577513$$uhttps://digitalcollections.ohsu.edu/record/42696/files/Thornton.Kimberlee.2024_poster.pdf 000042696 909CO $$ooai:digitalcollections.ohsu.edu:42696$$pstudent-work 000042696 980__ $$aTheses and Dissertations 000042696 981__ $$aPublished$$b2024-02-21